| Regimental number | 59380 |
| Place of birth | Odessa Russia |
| Religion | Church of England |
| Occupation | Cook |
| Address | Wyong, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs E Vengert, Wyong, New South Wales |
| Enlistment date | 24 May 1918 |
| Date of enlistment from Nominal Roll | 16 February 1915 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 12 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 23 June 1919 |